RITA CLARK (NPI# 1396936878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396936878 |
| Entity Type | Individual |
| Full Name | RITA CLARK |
| Credential | LCSW |
| Practice Address |
3349 N University Dr Suite 4 Hollywood FL 33024-9000 |
| Practice Telephone | 9548859500 |
| Practice Fax Number | 9548859444 |
| Mailing Telephone | 9548859500 |
| Mailing Fax Number | 9548859444 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW5134 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427479229 | Rita R. Clark | Social Worker | 7375 Woodward, Suite 1010, Detroit, MI 48202 | 2013-12-20 |
| 1508959826 | Rita W. Clark | Psychiatry & Neurology | 335 E 17th St, Brooklyn, NY 11226-5201 | 2006-09-30 |
| 1932599669 | Rita Clark | Case Manager/Care Coordinator | 259 Bill France Blvd, Daytona Beach, FL 32114-1316 | 2015-02-03 |
| 1114228772 | Rita Cunneen Clark | Pharmacist | 3801 S Reserve St, Missoula, MT 59801-7322 | 2010-11-12 |
| 1891914891 | Rita T Clark | Physical Therapy Assistant | 1834 W Wisconsin Ave, Milwaukee, WI 53233-2125 | 2007-04-25 |
| 1992707343 | Rita J Clark | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549-6031 | 2005-08-15 |
| Street Address |
3349 N UNIVERSITY DR SUITE 4 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-9000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831430065 | Dr Ann Monis Pa | Psychologist | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2013-03-13 |
| 1558657270 | Pbc & Associates | Marriage & Family Therapist | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2011-06-21 |
| 1154636827 | Emily Diane Samuels | Social Worker | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2010-08-18 |
| 1851534648 | Gamaliel Rivera | Counselor | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2009-04-09 |
| 1497924781 | Sonya M Khilnani | Psychologist | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2008-02-21 |
| 1710179452 | Stacy Sarnoff | Social Worker | 3349 N University Dr, Suite4, Hollywood, FL 33024-9000 | 2007-08-16 |
| 1326257320 | Martin William Murphy | Marriage & Family Therapist | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2007-05-22 |
| 1922166156 | Marilyn Ruth Mikkelsen | Social Worker | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2006-12-04 |
| 1023122355 | Vicki Rubin | Social Worker | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1730786112 | Adrienn Nagy, LLC | Social Worker | 7438 Cleveland St, Hollywood, FL 33024-5326 | 2020-10-08 |
| 1205433950 | N Davis Counseling | Social Worker | 3901 N 39th Ave, Hollywood, FL 33021-1807 | 2020-10-06 |
| 1285249557 | Sharifa Melissa Browne | Social Worker | 4150 Davie Road Ext Apt 4301, Hollywood, FL 33024-1704 | 2020-09-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1902377898 | Gary Turner | Social Worker | 2101 N 31st Rd, Hollywood, FL 33021-4421 | 2018-12-17 |
| 1952889974 | Joel Enoc Mendez | Social Worker | 6950 Liberty St, Hollywood, FL 33024-3717 | 2018-08-01 |
| 1023526324 | Jennifer Lisa Bluth | Social Worker | 921 Corkwood St, Hollywood, FL 33019-4877 | 2018-01-21 |
| 1952838872 | Vanessa Khan | Social Worker | 3725 S Ocean Dr Apt 815, Hollywood, FL 33019-2909 | 2017-05-23 |
| 1417409715 | Rachel Baldwin | Social Worker | 23413 Nicholson St, Hollywood, MD 20636-3289 | 2016-11-03 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.